Rehabtech · Claims Operations Specialist
Claims Operations Specialist
3 months · 15 hrs/week · Remote · Intermediate
Rehabtech is a fictional simulated work environment created for the Jay Health Work Experience Programme. It is not a real or verified employer, and this programme is an educational work-experience placement, not employment.
Programme overview
Explore the end-to-end administration of rehabilitation claims, with particular attention to treatment episodes, session limits, submission quality and unresolved claim exceptions.
Claims Operations Specialist Work Lab
The Claims Operations Specialist Work Lab programme scope centres on rehabilitation and physiotherapy claims with session limits. Its intended outputs include rehabilitation claims register, session-limit reconciliation report, exception resolution log.
What you will do: Claims Operations Specialist Work Lab
- Reconcile rehabilitation sessions against plan limits
- Track claim progress and outstanding documentation
- Investigate exceptions and prepare handover notes
Through role-focused educational assignments at Rehabtech, you will work through case briefs, document the evidence behind your decisions and prepare work samples relevant to rehabilitation and physiotherapy claims with session limits.
Work you will prepare for review
- Rehabilitation claims register
- Session-limit reconciliation report
- Exception resolution log
Methods you will practise
- Claims registers
- Session-limit tracking worksheets
Your weekly work cycle
- Develop and revise your rehabilitation claims register
- Submit progress on your session-limit reconciliation report with evidence and outstanding questions
- Discuss rehabilitation and physiotherapy claims with session limits findings in a supervisor review and record agreed next steps
Feedback and improvement. Your Claims Operations Specialist assignments will be reviewed against the programme’s assessment criteria. You will explain your approach, discuss corrections and refine your deliverables before including permitted samples in your portfolio. The programme runs for 3 months, with an expected commitment of 15 hours per week; agreed assignments and review arrangements are confirmed in your enrolment offer.
Role description
Purpose of the role. The Claims Operations Specialist programme develops role-specific judgement and professional work samples through rehabilitation and physiotherapy claims with session limits. The emphasis is on explaining your approach, producing clear evidence and improving work in response to supervisor feedback.
Work environment. A remote educational Claims Operations Specialist programme set in the fictional Rehabtech environment, with role-focused case briefs, structured assignments and supervisor review.
Day-to-day responsibilities
- Reconcile rehabilitation sessions against plan limits
- Track claim progress and outstanding documentation
- Investigate exceptions and prepare handover notes
Weekly responsibilities
- Develop and revise your rehabilitation claims register
- Submit progress on your session-limit reconciliation report with evidence and outstanding questions
- Discuss rehabilitation and physiotherapy claims with session limits findings in a supervisor review and record agreed next steps
Expected deliverables
- Rehabilitation claims register
- Session-limit reconciliation report
- Exception resolution log
Reporting and supervision. The Claims Operations Specialist programme scope includes an assigned supervisor reviewing role-specific deliverables, explaining corrections and assessing work against the criteria in your enrolment offer.
Tools and methods relevant to this programme
- Claims registers
- Session-limit tracking worksheets
Requirements
Qualifications or professional background
- Background in nursing, pharmacy, medicine, health records, health insurance or a related field
- Final-year students in health disciplines may apply
Required skills
- Attention to detail
- Basic medical terminology
- Structured written explanations
Preferred skills
- Exposure to HMO or insurance processes
- Familiarity with ICD-10 or tariff schedules
Previous experience. Prior exposure is helpful but not essential.
Digital literacy. Comfortable using web applications, spreadsheets and online communication tools.
Communication. Clear written English and timely responses to team messages and supervisor feedback.
Availability. 15 hours per week for 3 months, including scheduled reviews.
Technical requirements. A laptop or desktop computer, a modern browser and a stable internet connection.
Professional and ethical boundaries
- Educational casework only; no employment, real patient care, payer transactions or production system access is implied
- Use only fictional or authorised educational material; do not upload real patient or confidential employer information
- Specialist software, live integrations and dedicated role-specific workflows are not included in the current platform
Expected workload
Hours per week. 15 hours.
Assignment scope. Role-specific case briefs and deliverables focused on rehabilitation and physiotherapy claims with session limits. Assignment volume and due dates are confirmed in the enrolment offer within the 15-hour weekly commitment.
Deadlines and reporting. Tasks carry individual due dates; a weekly summary is due at the end of each week.
Meetings. One weekly team stand-up and one supervisor review session.
Attendance. Check in and out of the work lab for each working session.
How performance is evaluated
- Accuracy and relevance of rehabilitation claims register
- Evidence and reasoning in session-limit reconciliation report
- Documentation quality and professional boundaries
- Deadline adherence and response to feedback
Benefits
- Practical work-experience programme
- Access to Remote Career Launchpad
- Free mentor access according to the programme's mentoring arrangements
- Access to the Jay Health job board
- 10% discount on eligible Jay Health courses
- Supervisor feedback
- Opportunity to build a portfolio of permitted work samples
- Performance-based reward eligibility, where applicable (conditional, not guaranteed)
Learning outcomes
By the end of the programme you should be able to:
- Explain the key decisions and standards involved in rehabilitation and physiotherapy claims with session limits
- Prepare professional rehabilitation claims register
- Prepare professional session-limit reconciliation report
- Prepare professional exception resolution log
- Use supervisor feedback to improve the clarity, accuracy and completeness of your work
Selection process
- Application review
- Interview
- Role-relevant assessment
- Acceptance decision
- Enrolment and payment of the ₦20,000 enrolment fee (only after acceptance)
- Onboarding